,,ii #aaith ,,congress #ast ,session ,s4 #ahff ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #bb1 #bjbe ,ms4 ,baldwin 7for herself1 ,ms4 ,collins1 ,ms4 ,cortez ,masto1 and ,ms4 ,klobuchar7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to reauthorize and improve the ,national ,breast and ,cervical ,cancer ,early ,detection ,program for fiscal years #bjbf through #bjcj1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,screening for ,communities to ,receive ,early and ,equitable ,needed ,services for ,cancer ,act of #bjbe or the ,,screens for ,cancer ,act of #bjbe4 #b4 ,findings ,congress finds the following3 7#a7 ,in #bjbe1 there will be more than #cai1gej new cases of invasive breast cancer and nearly #dc1jjj breast cancer deaths in the ,united ,states4 7#b7 ,in #bjbe1 there will be about #ac1cfj new cases of invasive cervical cancer and about #d1cbj deaths from cervical cancer4 7#c7 ,since its creation in #aiia1 the ,national ,breast and ,cervical ,cancer ,early ,detection ,program 7referred to in this section as the ,,nbccedp7 has provided lifesaving cancer screening and diagnostic services to low-income1 uninsured1 or underinsured women in all #ej ,states1 the ,district of ,columbia1 #f territories1 and #ac ,tribes or ,tribal organizations4 7#d7 ,,nbccedp places special emphasis on outreach to women who are geographically or culturally isolated4 7#e7 ,,nbccedp has served more than #f1djj1jjj people and provided more than #af1ejj1jjj breast and cervical cancer screening examinations4 7#f7 ,these screening exams have diagnosed nearly #hj1jjj invasive breast cancers and more than #be1jjj premalignant breast lesions1 as well as almost #e1cjj invasive cervical cancers and over #bdh1jjj premalignant cervical lesions1 of which #ch percent were high-grade4 7#g7 ,the program also provides public education1 outreach1 patient navigation1 and care coordination to increase breast and cervical cancer screening rates4 7#h7 ,reauthorizing ,,nbccedp will result in expanded services1 leading to more people being screened and more cancers diagnosed at earlier stages4 #c4 ,national ,breast and ,cervical ,cancer ,early ,detection ,program ,title ,,xv of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjk et seq47 is amended-- 7#a7 in section #aeja 7#db ,u4,s4,c4 #cjjk7-- 7,a7 in subsection 7a7-- 7i7 in paragraph 7#b71 by striking the provision of appropriate follow-up services and support services such as case management and inserting that appropriate follow-up services are provided2 7ii7 in paragraph 7#c71 by striking programs for the detection and control and inserting for the prevention1 detection1 and control2 7iii7 in paragraph 7#d71 by striking the detection and control and inserting the prevention1 detection1 and control2 7iv7 in paragraph 7#e7-- 7,i7 by striking monitor and inserting ensure2 and 7,,ii7 by striking 2 and and inserting a semicolon2 7v7 by redesignating paragraph 7#f7 as paragraph 7#i72 7vi7 by inserting after paragraph 7#e7 the following3 7#f7 to enhance appropriate support activities to increase breast and cervical cancer screening1 such as navigation of health care services1 implementation of evidence-based or evidence-informed strategies proven to increase breast and cervical cancer screening in health care settings1 and facilitation of access to health care settings that provide breast and cervical cancer screenings2 7#g7 to reduce disparities in incidents of and deaths due to breast and cervical cancer in populations with higher-than-average rates2 7#h7 to improve equitable access to breast and cervical cancer screening and diagnostic services and to reduce related barriers1 including due to factors that relate to negative health outcomes2 and 2 and 7vii7 in paragraph 7#i71 as so redesignated1 by striking through 7#e7 and inserting through 7#h72 and 7,b7 by striking subsection 7d72 7#b7 in section #aejc 7#db ,u4,s4,c4 #cjjm7-- 7,a7 in subsection 7a7-- 7i7 in paragraph 7#a71 by striking that1 initially and all that follows through the semicolon and inserting that appropriate breast and cervical cancer screening and diagnostic services are provided consistent with relevant evidence-based recommendations2 and2 7ii7 by striking paragraphs 7#b7 and 7#d72 7iii7 by redesignating paragraph 7#c7 as paragraph 7#b72 and 7iv7 in paragraph 7#b71 as so redesignated1 by striking 2 and and inserting a period2 and 7,b7 by striking subsection 7d72 7#c7 in section #aejh7;b7 7#db ,u4,s4,c4 #cjjn-#d7;b77-- 7,a7 by striking #a year after the date of the enactment of the ,national ,breast and ,cervical ,cancer ,early ,detection ,program ,reauthorization of #bjjg1 and annually thereafter1 and inserting #b years after the date of enactment of the ,screening for ,communities to ,receive ,early and ,equitable ,needed ,services for ,cancer ,act of #bjbe1 and every #e years thereafter12 7,b7 by striking ,labor and ,human ,resources and inserting ,health1 ,education1 ,labor1 and ,pensions2 and 7,c7 by striking preceding fiscal year and inserting preceding #b fiscal years in the case of the first report after the date of enactment of the ,screening for ,communities to ,receive ,early and ,equitable ,needed ,services for ,cancer ,act of #bjbe and preceding #e fiscal years for each report thereafter2 and 7#d7 in section #aeaj7;a7 7#db ,u4,s4,c4 #cjjn-#e7;a77-- 7,a7 by striking and after #bjaa12 and 7,b7 by inserting 1 and #bce1jjj1jjj for each of fiscal years #bjbf through #bjcj before the period at the end4 #d4 ,,gao study ,not later than ,september #cj1 #bjbg1 the ,comptroller ,general of the ,united ,states shall report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives on the work of the ,national ,breast and ,cervical ,cancer ,early ,detection ,program1 including-- 7#a7 an estimate of the number of individuals eligible for services provided under such program2 7#b7 a summary of trends in the number of individuals served through such program2 and 7#c7 an assessment of any factors that may be driving the trends identified under paragraph 7#b71 including any barriers to accessing breast and cervical cancer screenings provided by such program4